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Usability Testing of a Bystander Bullying Intervention for Rural Middle Schools: Mixed Methods Study

Usability Testing of a Bystander Bullying Intervention for Rural Middle Schools: Mixed Methods Study

Students attending school in rural communities are at high risk of experiencing both school bullying and cyberbullying [7-9]. According to US national statistics, the highest rates of bullying among rural youth in the past decade were reported in 2019, with 27.7% or rural students reporting being bullied compared to 22.4% of students in urban areas [10].

Aida Midgett, Diana M Doumas, Claudia Peralta, Matt Peck, Blaine Reilly, Mary K Buller

JMIR Hum Factors 2025;12:e67962

Effect of the Reassured Self-Compassion–Based School Program on Anxiety, Video Game Addiction, and Body Image Among Rural Female Adolescents: Retrospective Study

Effect of the Reassured Self-Compassion–Based School Program on Anxiety, Video Game Addiction, and Body Image Among Rural Female Adolescents: Retrospective Study

Female adolescents, particularly those in rural areas, are at higher risk for anxiety and body dissatisfaction, with a significantly higher anxiety prevalence than males [11]. For instance, 14.1% (424/3008) of Saudi females are at risk for generalized anxiety disorder, compared to 11.4% (342/3007) of males [11]. Rural female adolescents face additional barriers.

Areeg Zuair

JMIR Form Res 2025;9:e68840

Urban-Rural Differences in the Association Between Internet Use Trajectories and Depressive Symptoms in Chinese Adolescents: Longitudinal Observational Study

Urban-Rural Differences in the Association Between Internet Use Trajectories and Depressive Symptoms in Chinese Adolescents: Longitudinal Observational Study

Furthermore, the impacts of internet use among adolescents may vary between rural and urban areas. Traditionally, rural adolescents have limited access to internet devices and engage in fewer online activities than their urban counterparts [24]. With the increasing penetration rates of the internet in recent years, the urban-rural gap has narrowed, with adolescents in rural areas experiencing a faster increase in screen time [25].

Yujie Liu, Xin Ge, Ying Wang, Xue Yang, Shangbin Liu, Chen Xu, Mi Xiang, Fan Hu, Yong Cai

J Med Internet Res 2025;27:e63799

Suspected Mpox Symptoms and Testing in Men Who Have Sex With Men in the United States: Cross-Sectional Study

Suspected Mpox Symptoms and Testing in Men Who Have Sex With Men in the United States: Cross-Sectional Study

Our findings show that a large proportion of GBMSM with symptoms suggesting mpox did not access mpox testing and mpox testing was low or zero among GBMSM in rural areas and GBMSM who were younger, Black, Hispanic or Latino, or people living with HIV. Compared with non-Hispanic White participants, we observed low levels of mpox testing among Black and Hispanic or Latino GBMSM in this study.

Kaitlyn Atkins, Thomas Carpino, Amrita Rao, Travis Sanchez, O Winslow Edwards, Marissa Hannah, Patrick S Sullivan, Yasmin P Ogale, Winston E Abara, Kevin P Delaney, Stefan D Baral

JMIR Public Health Surveill 2025;11:e57399

Urban-Suburban Differences in Public Perspectives on Digitalizing Pediatric Research: Cross-Sectional Survey Study

Urban-Suburban Differences in Public Perspectives on Digitalizing Pediatric Research: Cross-Sectional Survey Study

Another recent study also showed that rural caregivers had lower concerns about data privacy and security [58]. A possible explanation for suburban caregivers’ higher enthusiasm is that the suburban areas in this study may not accurately represent resource-poor regions. These caregivers demonstrate sufficient health awareness and capabilities, making them value participation in pediatric research.

Heping Fang, Ruoling Xian, Juan Li, Yingcun Li, Enmei Liu, Yan Zhao, Yan Hu

J Med Internet Res 2025;27:e60324

Opportunities to Address Specialty Care Deserts and the Digital Divide through the Veterans Health Administration’s Telehealth Hub-and-Spoke Cardiology Clinic: Retrospective Cohort Study

Opportunities to Address Specialty Care Deserts and the Digital Divide through the Veterans Health Administration’s Telehealth Hub-and-Spoke Cardiology Clinic: Retrospective Cohort Study

We included the following patient-level sociodemographic data: age, sex, race, and ethnicity (American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Pacific Islander, White, or unknown), rurality (highly rural, rural, or urban), and home site for receiving VA care.

Rebecca Lauren Tisdale, Colin Purmal, Neil Kalwani, Alexander Sandhu, Paul Heidenreich, Donna Zulman, Tanvir Hussain

J Med Internet Res 2024;26:e53932

Nurses’ and Nursing Assistants’ Experiences With Teleconsultation in Small Rural Long-Term Care Facilities: Semistructured Interview Pilot Study

Nurses’ and Nursing Assistants’ Experiences With Teleconsultation in Small Rural Long-Term Care Facilities: Semistructured Interview Pilot Study

Faced with challenges that potentially compromise the quality and safety of resident care in CHSLDs, the Quebec government introduced a teleconsultation pilot project for small, rural CHSLDs. This initiative, the first of its kind in the province, aimed to provide web-based access to nurses’ expertise during night shifts when nursing assistants were present at residents’ bedside.

Veronique Nabelsi, Marie Chantal Leclerc, Véronique Plouffe

JMIR Aging 2024;7:e65111

The Benefits of Using Active Remote Patient Management for Enhanced Heart Failure Outcomes in Rural Cardiology Practice: Single-Site Retrospective Cohort Study

The Benefits of Using Active Remote Patient Management for Enhanced Heart Failure Outcomes in Rural Cardiology Practice: Single-Site Retrospective Cohort Study

Rural populations have a disproportionate burden of disease, particularly obesity, diabetes, smoking, hypertension, and coronary heart disease, all of which are associated with poor health outcomes [1,2]. This is specifically reflected in the fact that rural populations have worse outcomes for heart failure (HF) morbidity and mortality and is compounded by racial and socioeconomic inequities [3-5].

William Craig, Suzanne Ohlmann

J Med Internet Res 2024;26:e49710

Assessing the Response Results of an mHealth-Based Patient Experience Survey Among People Receiving HIV Care in Lusaka, Zambia: Cohort Study

Assessing the Response Results of an mHealth-Based Patient Experience Survey Among People Receiving HIV Care in Lusaka, Zambia: Cohort Study

In addition, individuals in urban settings have a significantly lower prevalence (a PR: 0.90, 95% CI 0.87-0.94 of responding to both survey invitations compared with individuals in a rural setting (Table 3). Using observed response rates, we projected cost per additional response to be highest, at the 5 ZMW (US $0.42) incentive level, at 72.8 ZMW (US $5.82) per additional response as compared with the 0 ZMW incentive level considering 1000 invitations (Table 4).

Jacob Mutale, Kombatende Sikombe, Boroma Mwale, Mwansa Lumpa, Sandra Simbeza, Chama Bukankala, Njekwa Mukamba, Aaloke Mody, Laura K Beres, Charles B Holmes, Carolyn Bolton Moore, Elvin H Geng, Izukanji Sikazwe, Jake M Pry

J Med Internet Res 2024;26:e54304

JMIR Dermatology’s 2023 Year in Review

JMIR Dermatology’s 2023 Year in Review

Yotsu et al [5] exemplified studies exploring the use of phone apps in rural, underserved communities; they evaluated how teledermatology can diagnose skin-related neglected tropical diseases. Over 3 months in rural Côte d’Ivoire, the investigators trained local practitioners and implemented an app-based electronic medical record and teledermatology workflow. The study design assigned providers to an interventional group and a usual care group.

Ramiro Rodriguez, Robert P Dellavalle

JMIR Dermatol 2024;7:e57007